Federal inspection record · CMS data as of October 1, 2026
Surge Rehabilitation and Nursing LLC
49 Oakcrest Ave, Middle Island, NY · (631) 924-8820
- Certified beds
- 164
- Residents per day
- 130
- Ownership
- For-Profit
- Chain
- Paragon Healthnet
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 25, 1973
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New York homes
Surge Rehabilitation and Nursing LLC carries 88.25 inspection points. That is fewer than 17% of New York's 589 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–12 pts
- 4★ 12–27 pts
- 3★ 27–46 pts
- 2★ 46–82 pts
- 1★ over 82 pts
Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
14 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Respond appropriately to all alleged violations.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights2D
- D
Keep residents' personal and medical records private and confidential.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Quality of Life and Care2D
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Pharmacy Service1E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2025-12-22
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-08-09
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2022-12-06
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 8 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
4 h 8 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 54% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$45,812 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-22 | Fine | $45,812 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.5 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.7 pts better | 99.5% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.3 pts better | 95.5% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 2.3% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms13.9 pts better | 6.2% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 4.0% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.1 pts worse | 20.3% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.9 pts worse | 14.6% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.6 pts worse | 12.7% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts worse | 14.3% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.3% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 0.3% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.3 pts better | 14.3% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 4.4% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 84.6% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.6 pts better | 3.8% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 1.6% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.6 pts better | 82.5% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts better | 20.0% | 20.6% | 23.4% |
·
Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Laufer, Issac | 5% Or Greater Direct Ownership Interest · Individual | 50% | 11 facilities |
| Braver, Moshe | 5% Or Greater Direct Ownership Interest · Individual | 17% | 3 facilities |
| Lebowitz, Chaim | 5% Or Greater Direct Ownership Interest · Individual | 17% | 7 facilities |
| Lebowitz, Max | 5% Or Greater Direct Ownership Interest · Individual | 17% | 7 facilities |
| Braver, Moshe | Corporate Officer · Individual | 0% | 3 facilities |
| Laufer, Issac | Contracted Managing Employee · Individual | 0% | 11 facilities |
| Laufer, Issac | Corporate Officer · Individual | 0% | 11 facilities |
| Lebowitz, Chaim | Corporate Officer · Individual | 0% | 7 facilities |
| Lebowitz, Max | Corporate Officer · Individual | 0% | 7 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3D
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Construction2F
- D
Install noncombustible or limited-combustible interior walls.
- F
Use approved construction type or materials.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
Egress1D
- D
Have properly located and lighted "Exit" signs.
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Other homes nearby
-
Quantum Rehabilitation and Nursing LLC
Middle Island, NY · Paragon Healthnet
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 6 min
- Fines
- $0
-
Allegria Nursing & Rehab Center Of Port Jefferson
Port Jefferson Stati, NY
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 43 min
- Fines
- $0
-
Medford Multicare Center For Living
Medford, NY
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 55 min
- Fines
- $134,713